Franz Marie Cruz’s Diary

i did my first evisceration today.  i’ve all my fingers crossed hoping there will be no complications during follow-ups.  it was bloody.  the tissue edges were ragged. i could have done a lot better - next time anyway.  but there’s this feeling of, i dunno, excitement (?), enjoyment (?) basta happy i picked this specialization and i get to do things i am doing now. 

kanina ko lang naintindihan why they would describe evisceration as "parang nagkakayod ng buko" because ganun nga, you scrape out the uveal tissue from the inside of the eye with a spoon very much like nagkakayod ng buko.  though my procedue was blooody heller kanina.  i was blindly scraping the uveal tissue and blood clots out. parang currettage in OB i imagine.   plus i was feeling a bit nervous about my 66/F patient who’s in some amount of pain during the procedure in spite of the pre-op Tramadol and retrobulbar anesthesia.  I’m the RIC and the surgeon, i am responsible not only for her eye but for her life.  i’m sending the patient home tomorrow if she’s without any complication.  hers pala was a case of spontaneous globe rupture secondary to uncontrolled intraocular pressure.  imagine that. pwede pala manyari yun.  the other eye is blind, glaucoma din. so i would akay this patient sometimes in the morning if her relative is not around.  two weeks din sya confined before i finally got to the surgery. 

i also have one patient na sympathetic ophthalmia. ang cool ng case though bad for the patient but he improved after the IV steroids. we sent him on oral prednisone, (yikes!) and all its systemic side effects.

ang ugly pa rin ng pterygium excisions ko! =(

I’m currently hooked to the TV series Grey’s Anatomy. The show and their soundtrack. Been downloading nothing but their music for the past week.
I wanna try the new banana frap from Starbucks!!!! i love bananas.
had a sponsored lunch with my service at Spiral at Westin last wednesday. They have the longest buffet i think. super daming food. I love their dessert selection. Tiramisu! yummy.
Wala lang. i don’t eat at Greenwich if i can help it. Eeeww.
Sarap sunweldo. Gumastos and yet may pumapasok pa rin na money to my account regularly, especially for finally getting paid for something you’ve been doing for the past 2 years as free labor. Not into saving for the rainy days or for my future yet ha.
Funny. Some patients at sentro are afraid to ride the elevator alone. And some who do ride the elevator would go up and down the building so many times without getting to the floor they are headed to. Akyat-baba sila until a good samaritan helps them out with the buttons.
I miss my class and my blockmates and my sisses. Well, at least 2 of my best friends are taking their residency in PGH too, one in IM and the other in OB.
Gusto ko pa rin magbeach! Bitin ang subic beach plus ang daming tao. Di ako nakapagsun-bathe. hehehe, ang arte ko talaga.
i’m in a new service now and please ingat kayo sa mga mata nyo. so many cases of corneal penetrating injuries. don’t let kids go running about with a stick or any pointed object in their hand. all ages and patients ko. kids mostly. swerte na yung mga patients who post-repair can read the E of the E chart.

Gusto ko magbeach!